Individual
DR. PHILIP GALE KIES
Active
Individual
DR. PHILIP GALE KIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1251DT
KY
152W00000X
Optometrist
Primary
4331/T1024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0947962
—
OH
05
—
77540276
—
KY
05
—
77901981
—
OH
05
—
77901999
—
OH
05
—
77902757
—
OH
Enumeration date
05/17/2006
Last updated
04/05/2018
Update your record
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